My Thi Lien in Grand Rapids - Clinical Child & Adolescent

My Thi Lien - NPI 1265610422

My Thi Lien is a Clinical Child & Adolescent in Grand Rapids, Michigan. My Thi Lien practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for My Thi Lien is 1265610422. The last update date is 2009-04-03.

My Thi Lien's current location address is 4701 Plainfield Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163613365 and fax number 6163613395. The mailing address for My Thi Lien is 4701 Plainfield Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name My Thi Lien
Address 4701 Plainfield Ave Ne, Grand Rapids, Michigan
Phone Number 6163613365
Fax Number 6163613395
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1265610422
Provider Enumeration Date 2008-02-09
Last Updated Date 2009-04-03

Provider Mailing Address Detail

Address 4701 Plainfield Ave Ne
City Grand Rapids
State Michigan (MI)
Post Code 495251644
Phone Number 6163613365
Fax Number 6163613395

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6301013608
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about My Thi Lien

What is the My Thi Lien's unique identification number?

The My Thi Lien has been assigned the NPI (National Provider Identifier) Number 1265610422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of My Thi Lien?

The My Thi Lien is situated at 4701 Plainfield Ave Ne, in the city of Grand Rapids, state of MI, with the zip code 495251644.

What is the My Thi Lien's area of specialization and corresponding taxonomy classification?

The My Thi Lien's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.

On what date did the My Thi Lien receive its 1265610422 assignment from the Centers for Medicare & Medicaid Services?

The My Thi Lien was assigned its 1265610422 by the Centers for Medicare & Medicaid Services on 2008-02-09.

As of what date was the information regarding My Thi Lien, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to My Thi Lien, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-03.

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